NUR258 Exam 5 Study Guide: Reproductive Disorders, Emergency & Disaster Nursing

A high-yield vocabulary flashcard set covering reproductive disorders, emergency nursing priorities, and disaster management principles based on NUR258 Exam 5 modules.

NCJMM (Nursing Clinical Judgment Measurement Model)

A thinking path move from Recognize Cues to Analyze Cues, Prioritize Hypotheses, Generate Solutions, Take Action, and Evaluate Outcomes.

Pap Cytology

A screening test for cervical cell changes, preferredly started at age 25, which should not be used to screen for ovarian cancer.

Colposcopy

A magnified cervical inspection performed after abnormal screening where mild cramping and spotting are expected, but heavy bleeding or fever must be reported.

Hysterosalpingogram

A contrast x-ray evaluating the uterine cavity and tubal patency, usually scheduled after menses but before ovulation.

Cystocele

A disorder where the bladder bulges into the anterior vaginal wall, leading to pelvic pressure, stress incontinence, and incomplete emptying.

Rectocele

A disorder where the rectum bulges into the posterior vaginal wall, characterized by constipation and the need to splint the vagina for defecation.

Fibrocystic Changes

Benign breast findings involving multiple, mobile, rubbery, or tender nodules that often fluctuate with the menstrual cycle.

Triple Assessment

A definitive diagnostic process for breast concerns consisting of clinical exam, breast imaging, and tissue biopsy.

Lymphedema Precautions

Post-operative care for axillary node surgery including protecting the affected arm, avoiding constriction or trauma, and monitoring for swelling.

Postmenopausal Bleeding

A classic red-flag cue for endometrial cancer that is never an expected finding and requires immediate evaluation.

Jarisch–Herxheimer Reaction

A systemic reaction that may occur following the start of Penicillin G treatment for syphilis.

Trichomoniasis

An STI characterized by frothy yellow-green malodorous discharge and a 'strawberry cervix,' treated with Metronidazole or Tinidazole.

Pelvic Inflammatory Disease (PID)

An infection involving lower abdominal pain and cervical motion tenderness that can lead to infertility or ectopic pregnancy if not treated early with broad antibiotics.

Polycystic Ovary Syndrome (PCOS)

A condition involving irregular ovulation, hyperandrogenism (hirsutism/acne), and insulin resistance.

Endometriosis

The presence of ectopic endometrial-like tissue causing cyclic pelvic pain, dysmenorrhea, and dyspareunia.

PSA (Prostate-Specific Antigen)

A serum test for prostate cancer where values $>4\,ng/mL$ require further evaluation; values may also be elevated by BPH, prostatitis, or UTI.

TURP (Transurethral Resection of the Prostate)

A surgical procedure for BPH often requiring post-operative continuous bladder irrigation (CBI) to prevent clot formation.

TURP Syndrome

A complication of fluid absorption and hyponatremia during bladder irrigation characterized by headache, confusion, hypertension, and bradycardia.

PDE-5 Inhibitors

Medications for erectile dysfunction that are strictly contraindicated with nitrates due to the risk of severe hypotension.

Testicular Torsion

A time-sensitive surgical emergency involving sudden severe unilateral scrotal pain, nausea, and a high-riding testis.

Primary Survey

The initial emergency assessment sequence: Airway (+ C-spine), Breathing, Circulation, Disability (AVPU/GCS), and Exposure/Environment.

AMPLE

A mnemonic for secondary survey history: Allergies, Medications, Past history/Pregnancy, Last meal, and Events leading to injury.

Evisceration Management

Immediate care involving covering exposed organs with sterile saline-moistened dressings and an occlusive layer, keeping the patient NPO for surgery.

Tidaling

The expected movement of water with respiration in the water-seal chamber of a chest tube system; its absence suggests re-expansion or obstruction.

Compartment Syndrome

A condition of escalating pain out of proportion to injury, pain with passive stretch, and paresthesia; a present distal pulse does not rule it out.

Heat Stroke

A severe environmental emergency involving hyperthermia and CNS dysfunction (confusion/seizure/coma) requiring rapid cooling to approximately $39.2\,^\circ C$ ($102.7\,^\circ F$).

Carbon Monoxide (CO) Poisoning

An exposure where pulse oximetry may appear normal despite toxicity; it is treated with $100\,\%$ oxygen.

Sexual Assault Nurse Examiner (SANE)

A specially trained provider who performs forensic exams and evidence collection, which should be preserved in paper bags to maintain the chain of custody.

SAD PERSONS

A mnemonic for suicide risk assessment: Sex, Age, Depression, Prior attempt, Ethanol/drug use, Rational thinking loss, Support-system loss, Organized plan, No significant other, and Sickness.

START Triage

A disaster triage method where walking patients are Green, and those not breathing after airway repositioning are categorized as Black (Expectant).

Level A PPE

The highest level of protection involving a fully encapsulating chemical-resistant suit with a self-contained breathing apparatus (SCBA).

Blast Lung

A primary blast injury involving pulmonary hemorrhage, ARDS, or pneumothorax caused by the blast wave impacting air-filled organs.

Nerve Agents

Chemical inhibitors causing a cholinergic crisis (SLUDGE) treated with Atropine to dry secretions and Pralidoxime for enzyme reactivation.

Incorporation (Radiation)

When radioactive material enters the body through inhalation, ingestion, or through a wound.